RIO GRANDE FOOT & ANKLE SPECIALISTS LLC – Foot & Ankle Surgery Podiatrist, NPI 1750938478
Foot & Ankle Surgery Podiatrist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for RIO GRANDE FOOT & ANKLE SPECIALISTS LLC
South 1560 West, Woods Cross, Davis County, Utah, 84087, United States
WOODS CROSS, UT 840872361
Phone: (801) 505-0821
Fax: (801) 505-0803
Type: Mailing
Galisteo Street, Santa Fe, Santa Fe County, New Mexico, 87504-5102, United States
SANTA FE, NM 875052143
Phone: (505) 395-9575
Fax: (505) 466-5166
Type: Location
280 S MAIN ST
BOUNTIFUL, UT 840106236
Phone: (801) 505-0821
Fax: (801) 505-0803
Type: Mailing
1399 WEIMER RD STE 400
TAOS, NM 875716348
Phone: (575) 214-8521
Fax: (877) 540-1253
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-10
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1042 days ago).
Enrollment records
2
Earliest due date
2023-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20191014000086 | O | Clinic/Group Practice | NM | 2024-10-31 |
| O20200710000125 | O | Physician - Podiatry | NM | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84087)
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